NPI | 1154806552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AR 202335) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AR 202183) |
Enumeration Date | 2018-10-01 |
Last Update Date | 2024-09-11 |